Manipulating E-Cigarette Nicotine to Promote Public Health
2 other identifiers
interventional
375
1 country
1
Brief Summary
This clinical trial explores the manipulation of e-cigarette (EC) nicotine to promote public health. Researchers are trying to understand and gather information about how the strength, form, and structure of nicotine in products play a significant role in their potential for addiction and how they might affect health risks. The information gained from this study may allow researchers to understand how these aspects of nicotine influence the potential for addiction, how people puff on ECs, how the body processes nicotine, and any potential harmful effects it might have on health. Exploring these specific characteristics of nicotine may also determine if an EC product standard could help identify optimal nicotine levels for users.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2024
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 20, 2024
CompletedFirst Submitted
Initial submission to the registry
May 22, 2024
CompletedFirst Posted
Study publicly available on registry
June 7, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 20, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 20, 2027
April 21, 2026
May 1, 2025
3 years
May 22, 2024
April 20, 2026
Conditions
Outcome Measures
Primary Outcomes (24)
Nicotine pharmacokinetics: Maximum nicotine blood level (Cmax) (Study 1)
Blood nicotine samples will be assayed using liquid chromatography tandem mass spectrometry (LC-MS/MS) with deuterated internal standards.
Immediately before puffing (-5 minutes), and at 5, 15, 60, and 120 minutes after the start of the puffing session
Nicotine pharmacokinetics: Time to maximum blood level (Tmax) (Study 1)
Blood nicotine samples will be assayed using LC-MS/MS with deuterated internal standards.
Immediately before puffing (-5 minutes), and at 5, 15, 60, and 120 minutes after the start of the puffing session
Nicotine pharmacokinetics: Area under the curve (AUC) (Study 1)
Blood nicotine samples will be assayed using LC-MS/MS with deuterated internal standards.
Immediately before puffing (-5 minutes), and at 5, 15, 60, and 120 minutes after the start of the puffing session
Nicotine metabolism (Study 1)
The rate of nicotine metabolism will be assessed using the standard method of nicotine metabolite ration (NMR) = hydroxycotinine/cotinine, modified to reflect stereoselective metabolism. Plasma concentration of cotinine, and hydroxycotinine will be measured by chiral LC-MS/MS based on previous methods and quantified using the ratio of metabolites to internal standards.
At 60 minutes after the start of each puffing session
Reactive oxygen species (ROS) (Study 1)
The recorded puffing topographies will be sent to the analytical lab for "puff playback" generation of EC aerosols and quantification of ROS. We will use an acellular ROS assay previously developed by our team as a generic toxicity assessment method.
Up to 2 years
Nicotine toxicity measures (Study 1)
Will be assessed by carbonyl yields reported as ug/session or ug/puff or normalized per nicotine yield for a head-to-head comparison between different nicotine conditions.
Up to 2 years
In vitro nicotine toxicity measures: Cell cycle and proliferation (Study 1)
Will be assessed by cell cycle and proliferationg.
Up to 2 years
In vitro nicotine toxicity measures: Cytotoxicity (Study 1)
Will be assessed by cytotoxicity, senescence.
Up to 2 years
In vitro nicotine toxicity measures: Senescence (Study 1)
Will be assessed by senescence.
Up to 2 years
In vitro nicotine toxicity measures: RNA sequencing (Study 1)
Will be assessed by RNA sequencing.
Up to 2 years
Nicotine yield (Study 1)
Using a dilute-and-shoot method developed by our team, nicotine yield in EC aerosol will be quantified using the "playback" technique (i.e., use topography collected from participants to machine-generate EC aerosols) and GC-MS method, developed by our group to minimize the PG/VG interference not addressed by other methods.
Up to 2 years
Modified Cigarette Evaluation Questionnaire (mCEQ)(Study 1)
The modified Cigarette Evaluation Questionnaire (mCEQ) will assess subjective responses. The 11-item mCEQ includes five subscales: Smoking Satisfaction, Psychological Reward, Aversion, Enjoyment of Respiratory Tract Sensations, and Craving Reduction, with items rated from 1 (not at all) to 7 (extremely likely). Items are averaged to create each of the subscales also ranging from 1 to 7 with higher values indicating greater levels of smoking satisfaction, psychological reward, aversion, enjoyment of respiratory tract sensations, and craving reduction.
Study visits 2 through 9
Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form (QSU)
Smoking and vaping urges/craving will be measured using the Tiffany-Drobes Questionnaire of Smoking Urges: Brief Form with a modified version (replacing the word "cigarette" with "e-cigarette") for EC users. This is a 10-item measure where participants rate smoking/vaping-related items on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). Similar to previous studies, we will collapse the items into two previously identified factors (Factor 1: strong desire and intention to smoke/vape; Factor 2: anticipation of relief from withdrawal symptoms). Scores are calculated by summing the items and range from 5 to 35 for each of the factors with higher scores indicating greater craving to smoke/vape.
Study visits 2 through 9
Drug Effects/Liking Questionnaire (DEQ)(Study 1)
Assess the desire and liking of products, positive and negative effects (i.e., side effects), and perceived strength and effectiveness. Scores range from 1 to 5 with higher scores indicating greater strength (effect from smoking cigarettes/vaping e-cigarettes) or liking (liking of effect from smoking cigarettes/vaping e-cigarettes)
Study visits 2 through 9
Minnesota Nicotine Withdrawal Scale (MNWS)(Study 1)
Asses Nicotine withdrawal and smoking craving, anger/irritability, anxiety, depressed mood, restlessness/difficulty concentrating, increased appetite, sleep problems, and somatic symptoms (nausea, constipation, sore throat, dizziness, coughing). Scores range from 0 to 4 with higher scores indicating greater levels of withdrawal (MNWS) or more craving to smoke (MNWS Craving).
Study visits 2 through 9
Puffing topography: Puff count (Study1)
Puff count will be measured.
60 minute puffing session at each of the 8 study lab visits
Puffing topography: Average puff duration (Study1)
Average puff duration will be measured.
60 minute puffing session at each of the 8 study lab visits
Puffing topography: inter-puff interval (Study1)
Inter-puff interval will be measured.
60 minute puffing session at each of the 8 study lab visits
Puffing topography: Flow rate (Study1)
Flow rate will be measured.
60 minute puffing session at each of the 8 study lab visits
Puffing topography: Volume (Study1)
Puff volume will be measured.
60 minute puffing session at each of the 8 study lab visits
General Labeled Magnitude Scale (gLMS) (Study 2)
Complete the General Labeled Magnitude Scale (gLMS) after each condition. Scores range from 0 "No Sensation" to 100 "Strongest Imaginable".
1 six hour lab visit
Labeled Hedonic Scale (LHS) (Study 2)
Complete the Labeled Hedonic Scale (LHS) after each condition. Scores range from -100 "Most Disliked Imaginable" to 100 "Most Liked Imaginable".
1 six hour lab visit
Sensory Attributes (Study 2)
Rate sensory attributes (smoothness, harshness, sweetness, bitterness) on a 100-unit visual analog scale after each condition.
1 six hour lab visit
Overall acceptance: Industry-designed Thermometer Rating Scale (Study 2)
Complete a tobacco industry-designed thermometer rating scale of overall acceptance after each condition. Ratings range from 0 "the very worst" to 100 "the very best", with 50 indicating "indifferent".
1 six hour lab visit
Study Arms (28)
Phase 1, Arm 1 (High, Nic, S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 1, Arm 2 (High, Nic, R/S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 1, Arm 3 (Low, Nic, S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 1, Arm 4 (Low, Nic, R/S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 1, Arm 5 (High, NicH+, S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 1, Arm 6 (High, NicH+, R/S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 1, Arm 7 (Low, NicH+, S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 1, Arm 8 (Low, NicH+, R/S)
EXPERIMENTALParticipants are randomized to vape one out of the eight study e-liquids in a 10-puff vaping session over 5 minutes using the e-cig study device and then in an ad libitum puffing session over 60 minutes. The 8 e-liquids vary in nicotine concentration (low \[20 mg/g\] or high \[50 mg/g\]), form (Nic or NicH+), and isomer (S-nicotine or R/S nicotine).
Phase 2, Arm 1 (High, 5%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 2 (High, 5%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 3 (Low, 5%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 4 (Low, 5%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 5 (High, 25%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 6 (High, 25%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 7 (Low, 25%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 8 (Low, 25%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 9 (High, 45%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 10 (High, 45%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 11 (Low, 45%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 12 (Low, 45%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 13 (High , 65%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 14 (High , 65%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 15 (Low, 65%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 16 (Low, 65%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 17 (High, 85%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 18 (High, 85%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 19 (Low, 85%, S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Phase 2, Arm 20 (Low, 85%, R/S)
EXPERIMENTALParticipants vape 20 different study e-liquids varying in concentration (low \[20 mg/g\] or high \[50 mg/g\]), freebase nicotine percentage (5%, 25%, 45%, 65%, or 85%), and isomer (S-nicotine or R/S nicotine) using the e-cig study device during two visits.
Interventions
Undergo CO test
Undergo blood and urine sample collection
Sample study e-liquids in vaping sessions at research lab with e-cig study device
Ancillary studies
Eligibility Criteria
You may qualify if:
- Current exclusive young adult EC user for at least the past 3 months (confirmed by cotinine testing strip) between 21-24 years old with no/minimal history of smoking cigarettes (≤ 10 cigarettes in entire life)
- Current older adult smoker (daily use, ≥ 100 cigarettes in entire life) aged 25-65 with interest in trying an EC
- Willing to abstain from all nicotine, tobacco products, and marijuana for at least 12 hours before study visits
- Read and speak English
You may not qualify if:
- Currently attempting to quit nicotine or tobacco products
- Currently pregnant (will be verified with urine pregnancy test), planning to become pregnant, or breastfeeding
- If age 21-24 years old AND use of any tobacco products other than ECs (use of \>10 cigarettes in entire life; use of \>10 traditional cigars, cigarillos, or filtered cigars in entire life; use of smokeless tobacco products \>10 times in entire life; or hookah in the last 30 days).
- Self-reported diagnosis of lung disease including asthma, cystic fibrosis, or chronic obstructive pulmonary disease
- New or unstable cardiovascular disease diagnosed within the past 3 months
- Use of medications that are inducers of CYP2A6 enzyme such as rifampicin, dexamethasone, phenobarbital, and other anti-convulsion drugs
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Theodore L Wagener
Ohio State University Comprehensive Cancer Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Masking Details
- Personnel performing the assays will be blinded to the status of the sample.
- Purpose
- PREVENTION
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
May 22, 2024
First Posted
June 7, 2024
Study Start
May 20, 2024
Primary Completion (Estimated)
May 20, 2027
Study Completion (Estimated)
May 20, 2027
Last Updated
April 21, 2026
Record last verified: 2025-05